Organization Active NPI

John Nwora MD

  • Specialist
  • Caruthersville, MO
National Provider Identifier
1699961862
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
106331 Issued in MO
Legal business name
JOHN NWORA MD
Practice address
1117 Ward Ave
Caruthersville, MO 63830-2622
Phone
(573) 333-4441
Fax
(573) 333-5142
NPI assigned
Sep 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. John O Nwora, MD
Title
Ceo
Phone
(573) 333-4441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 106331 MO Primary

Addresses

Primary practice location

1117 Ward Ave
Caruthersville, MO 63830-2622

Mailing address

1117 Ward Ave
PO Box 200
Caruthersville, MO 63830-2622
Phone (573) 333-4441

Other identifiers 1

IdentifierTypeStateIssuer
207679200MedicaidMO

National Provider Directory

National Provider Directory

Locations

1206 Ward Ave
Ste B
Caruthersvlle, MO 63830
Phone (573) 333-4441

1117 Ward Ave
Caruthersvlle, MO 63830
Phone (573) 333-2711

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1699961862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 WARD AVE",
            "address_2": "PO BOX 200",
            "city": "CARUTHERSVILLE",
            "state": "MO",
            "postal_code": "638302622",
            "telephone_number": "573-333-4441",
            "fax_number": "573-333-5142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 WARD AVE",
            "city": "CARUTHERSVILLE",
            "state": "MO",
            "postal_code": "638302622",
            "telephone_number": "573-333-4441",
            "fax_number": "573-333-5142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN NWORA MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "NWORA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "573-333-4441",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MO",
            "license": "106331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207679200",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caruthersville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.